<!--
  ========================LICENSE_START=================================
  screenit-web
  %%
  Copyright (C) 2012 - 2020 Facilitaire Samenwerking Bevolkingsonderzoek
  %%
  This program is free software: you can redistribute it and/or modify
  it under the terms of the GNU Affero General Public License as published by
  the Free Software Foundation, either version 3 of the License, or
  (at your option) any later version.
  
  This program is distributed in the hope that it will be useful,
  but WITHOUT ANY WARRANTY; without even the implied warranty of
  MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
  GNU General Public License for more details.
  
  You should have received a copy of the GNU Affero General Public License
  along with this program.  If not, see <http://www.gnu.org/licenses/>.
  =========================LICENSE_END==================================
  -->
<wicket:panel xmlns:wicket="http://wicket.apache.org">
	<form wicket:id="contactForm" class="not-tracked-for-changes-on-page">
    <div class="modal-header">
        <button type="button" class="close" data-dismiss="modal">&times;</button>
        <h3>Contact wijzigen</h3>
    </div>

    <div class="modal-body form-horizontal">
        <div class="control-group span7">
            <div class="row">
                <div class="control-group">
                    <label class="control-label">Opmerking</label>
                    <div class="controls">
                        <textarea class="textarea-full-width" id="opmerkingen" wicket:id="opmerking"></textarea>
                    </div>
                </div>
            </div>            
        </div>

    </div>
    <div class="modal-footer">
        <a href="javascript:void(0);" class="btn btn-danger pull-left" wicket:id="verwijderen">Verwijderen</a>
        <a href="javascript:void(0);" class="btn" data-dismiss="modal">Annuleren</a>
        <a href="javascript:void(0);" class="btn btn-primary" wicket:id="opslaan">Opslaan</a>
    </div>
    </form>
</wicket:panel>
